Organization
AZALEA CITY HAND & REHAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY BREITUNG O.T. (OWNER)
(251) 470-7772
Entity
Organization
Contact information
Practice address
316 S SAGE AVE, MOBILE, AL 36606-3616
(251) 470-7772
(251) 470-7773
Mailing address
316 S SAGE AVE STE B, MOBILE, AL 36606-3616
(251) 470-7772
(251) 470-7773
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/16/2006
Last updated
12/11/2012
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